Shah Naseem, Mathur Vijay Prakash, Jain Veena, Logani Ajay
Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Indian J Dent Res. 2018 Mar-Apr;29(2):150-154. doi: 10.4103/ijdr.IJDR_651_16.
Oral hygiene maintenance is crucial for prevention of various oral diseases. Oral hygiene practices across the country vary largely and people in peri-urban and rural areas use traditional methods of oral hygiene like powders, bark, oil and salt etc. Their effect on oral soft and hard tissues need to be studied to understand their beneficial and/ or harmful effects on maintenance of oral hygiene and prevention or causation of oral diseases.
This study aimed to assess the plaque-cleaning efficacy, gingival bleeding, recession and tooth wear with different traditional oral hygiene methods as compared to use of toothpaste-toothbrush, the most accepted method of oral hygiene practice.
Hospital based cross sectional analytical study. Results: Total 1062 traditional oral hygiene method users were compared with same number of toothpaste-brush users. The maximum number in the former group used tooth powder (76%) as compared to other indigenous methods, such as use of bark of trees etc and out of tooth powder users; almost 75% reported using red toothpowder. The plaque scores and gingival bleeding & recession were found to be more in traditional oral hygiene method users. The toothwear was also more severe among the toothpowder users.
Traditional methods were found to be inferior in plaque control as was documented by increased bleeding and gingival recession. Its effect on hard tissues of teeth was very damaging with higher tooth wear scores on all surfaces.
保持口腔卫生对于预防各种口腔疾病至关重要。全国各地的口腔卫生习惯差异很大，城市周边和农村地区的人们使用粉末、树皮、油和盐等传统口腔卫生方法。需要研究它们对口腔软硬组织的影响，以了解它们在维持口腔卫生以及预防或引发口腔疾病方面的有益和/或有害作用。
本研究旨在评估与使用牙膏牙刷（最常用的口腔卫生方法）相比，不同传统口腔卫生方法的牙菌斑清洁效果、牙龈出血、牙龈退缩和牙齿磨损情况。
基于医院的横断面分析研究。
共将1062名传统口腔卫生方法使用者与相同数量的牙膏牙刷使用者进行了比较。与其他本土方法（如使用树皮等）相比，前一组中使用牙粉的人数最多（76%），在牙粉使用者中，近75%报告使用红色牙粉。发现传统口腔卫生方法使用者的牙菌斑评分、牙龈出血和退缩情况更严重。牙粉使用者的牙齿磨损也更严重。
传统方法在控制牙菌斑方面效果较差，这表现为出血增加和牙龈退缩。它对牙齿硬组织的影响非常有害，所有牙面的牙齿磨损评分都更高。
